go back

Alaska rates for MS-DRG 575

Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,725.30 / $47,302.40 / $96,105.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,304.09 / $72,304.09 / $76,821.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $27,943.35 / $48,978.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $31,045.58 / $76,821.75